Medicine Question

amberj32

I was diagnosed with T2 at the end of April 2014. The doctor put me on 500mg of metformin two times a day and 10mg of glipizide once a day. Also for high blood pressure I take lisinopril and metoprolol. They seemed like they were working and my blood sugar and blood pressure have been lowering. For the 2 weeks prior to my doctor appointment last week. I was in the 80's/90's before eating and no higher than 140 two hours after I ate. I had a couple of 60's. Last week I went to the doctor and she changed my medication to 5mg of glipize once a day and 500mg of metformin three times a day. She up'ed my metformin because she said she wants to get my A1C down. It was 8.9, a few weeks prior when I was diagnosed it was 11.4.

I've been trying to eat a little better but I also have been staying around the 1780 calories MFP set for me. I exercise a couple times a week. Well now it's been a week since I've seen the doctor and she changed my meds and I've had a low of 62 or so every day, usually in the morning two hours after breakfast. I take the glipizide in the morning and the metformin with breakfast, lunch and dinner. Even after I ate over 70 carbs for breakfast yesterday (It was a test) and my blood sugar only got to 88 two hours after. I start to get panicky when I get in the 60's. Maybe that's just me.

Should I talk to my doctor about this? I tried to tell her things were going well at my last visit but she still wanted to add the extra metformin. The only thing I did get her to do was drop the glipizide from 10mg to 5mg. My mom, who has had T2 diabetes 15 years and is on insulin, said I should stop taking the glipizde. I don't think I should just stop taking it. The doctor should know best, right? Maybe I'm just worrying too much?

Sorry if it's long and confusing.

mikeyboy

Talk to yor Doctor again. It is up to you to get your Dr. to listen. I understand the A1c she is shooting for, but it is a three month number test. Having lows after meals is something your Dr. needs to hear about. Just my opinion but I believe you should always be on the least amount of meds you can be.

amberj32

Talk to yor Doctor again. It is up to you to get your Dr. to listen. I understand the A1c she is shooting for, but it is a three month number test. Having lows after meals is something your Dr. needs to hear about. Just my opinion but I believe you should always be on the least amount of meds you can be.

Thank you. I will call her. I would like to be on least amount of meds as possible.

5LilMonkeys

Definitely talk to your Dr. Seems odd to me that she lowers your glipizide and you have lows like that. I'm on 5mg glipizide once a day and 1000mg metformin twice a day. Are you taking the glipizide 30 min before you eat?

earlnabby

Definitely talk to your doctor. Do you record your numbers? I found that if I can give my doctor specific averages and numbers she can get a better feel for what is happening (unless I am in the office where she can download the numbers from my monitor). I have an Excel spreadsheet where I record my numbers and I have it set to give me averages for each time of day, the whole month so far, and all months combined.

I am only on 2.5 mg glipizide so I can't help with the med question.

amberj32

Definitely talk to your Dr. Seems odd to me that she lowers your glipizide and you have lows like that. I'm on 5mg glipizide once a day and 1000mg metformin twice a day. Are you taking the glipizide 30 min before you eat?

Yes, I'm taking the glipizide 30 minutes before I eat.

amberj32

I talked to the doctor this afternoon because I went down to 60 again. She said to stop taking the glipizide and see how I do and stay on metformin 500mg three times a day. She said if I go above 110 to call her back and she will adjust my medication again.

Thanks everyone for your input.

5LilMonkeys

Sounds like a good plan.:)